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U.S. HouseH.R. 2483

Amendment (Pettersen) to H.R. 2483 — SUPPORT for Patients and Communities Reauthorization Act of 2025

Failed 213–213Party-lineClose

Amendment purpose (official): Amendment sought to codify Biden-era guidance to ensure that budget neutrality requirements for section 1115 waivers take into account downstream savings.

Bill summary: SUPPORT for Patients and Communities Reauthorization Act of 2025 This act reauthorizes and revises programs and activities relating to addressing substance use disorders, overdoses, and mental health. (official summary)

Question before the chamber: On Agreeing to the Amendment

A yes vote was to adopt an amendment to the SUPPORT reauthorization bill (H.R. 2483) giving the force of law to a 2024 federal guidance letter (SMD #24-003) on budget neutrality for Medicaid Section 1115 demonstration projects. (AI-written)

Read the official record ↗

The tally

Yes 213 · No 213 · Not voting 12

Bar: green = yes, brown = no, striped = not voting.

Votes by party
PartyYesNoNot voting
Democrats21104
Republicans22128
Other or unknown party010

Most Democrats voted yes; most Republicans voted no. 2 members voted against their party’s majority.

Voted against their party’s majority

The full roll (438)

Yes 213

No 213

Not voting 12

“Not voting” is a recorded non-vote, not a reason for the absence. Parties come from public rosters; how we count.